NPI 1871665372

Alegent Health Bergan Mercy Health System

Organisation Psychiatric Residential Treatment Facility Glenwood, IA

Practice location

Address: 359 Indian Hills Dr, Glenwood, IA 51534-1953
Phone: (712) 527-2049
Mailing address: PO Box 1c, Council Bluffs, IA 51502-3001

Authorised official

Name: Evert Kuiper
Title: Ceo
Phone: (402) 343-4420

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 65PM28 (IA)

Other Psychiatric Residential Treatment Facility providers in Iowa →

Registry record

NPI: 1871665372
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 10 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.